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A statement that the entity conversion is being abandoned in accordance with this section. C. The statement of abandonment shall contain: 1.The name of the converting domestic corporation;. 2. If the instrument to be abandoned is a merger, exchange or conversion, state the name of each entity that is a party to the transaction. Instructions for completing Statement of Abandonment – Please type or print legibly. 1. Fictitious business name(s) being abandoned. 2. Submit Statement of Abandonment of FBN. Bring or mail the completed Abandonment statement along with the corresponding fee. Abandonment Allows the registrant to abandon the use of a fictitious business name. If the converting organization is not a partnership, then the abandonment of the plan of conversion must comply with its governing statute. 2.